Abazali bavame ukukhathazeka ngezingubo zezingane zabo, mhlawumbe ngenxa yokuthi zibonakala zikhulu noma ngenxa yokuthi zithola imfucuza eminingi.
Kodwa akubonakali njengabachwepheshe be-ENT yezingane ezithatha amathoni (tonsillectomy) okuningi njengoba ayejwayele.
I-tonsillectomy
Ngakho-ke uma amathani afanele aphume?
Nakuba kuyiqiniso odokotela abaningi abaphuthumanga ukwenza i-tonsillectomy njengoba bekadlulile, izingane zisakhipha amathoni abo.
Eqinisweni, i-tonsillectomy ihlala yinto ejwayelekile kunazo zonke eyenziwa ezinganeni zase-United States, 'ukubeka phezulu ngenhla ukuthola izimpande zendlebe . Izinkomba ezimbili ezivamile ze-tonsillectomy zihlanganisa i-tonsillitis engapheli noma zibe nezimpawu eziqhubekayo ezinyangeni ezingaphezu kwezintathu kuya kweziyisithupha, noma i-tonsillitis ephindaphindiwe, evame ukuchazwa ngokuthi i-tonsillitis okungenani kasikhombisa ngonyaka owodwa noma kathathu ngonyaka okungenani iminyaka emithathu.
Ngakolunye uhlangothi, i-American Academy of Otolaryngology - Inhloko Nokwelashwa Kwezintambo zincoma ukuthi izingane zicabangele ukuba ne-tonsillectomy uma okungenani:
- iziqephu eziyisikhombisa ze-tonsillitis ngonyaka odlule
- iziqephu eziyisihlanu ze-tonsillitis ngonyaka ngamunye eminyakeni emibili eyedlule
- iziqephu ezintathu ze-tonsillitis ngonyaka ngamunye eminyakeni emithathu eyedlule
Ngama-episodes amancane okuthiwa yi-tonsillitis, ochwepheshe e-American Academy of Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi batusa ukuba balinde ukubukela.
Khumbula ukuthi ucwaningo lwamuva, i-Tonsillectomy, ne-Adenotonsillectomy ye-Infraven Infection Ejwayelekile ezingane eziphathekayo, zaphetha ngokuthi 'inzuzo encane kakhulu eyenziwe yi-tonsillectomy noma i-adenotonsillectomy ezinganeni eziphathekayo ngokutheleleka ngokutheleleka komlomo webhola kubonakala sengathi azifaneleki izingozi, kanye nezindleko zemisebenzi. ' Futhi lolu cwaningo lusetshenziselwa izindlela eziningi ezingakaze zenzeke ngaphambi kokwenza i-tonsillectomy, kuphela kubandakanya izingane ezazineziqephu eziyisikhombisa noma ngaphezulu ze-tonsillitis ngonyaka owodwa, iziqephu ezinhlanu noma ngaphezulu eminyakeni emibili, noma iziqephu ezintathu noma ngaphezulu kule minyaka emithathu eyedlule.
Ngakho-ke ungamangali uma udokotela wakho wezingane engasheshi ukubhekisa ingane yakho ukuba ingasaphinde ikhishwe izikhwama zakhe, ngemuva kweminyaka embalwa, ingane yakho ingase iqale ukuthola amacala amaningi nje wokugulisa amathoni njengoba enza ngaphambi kokuba athole ama-tonsil .
I-tonsillitis
Iyini i-tonsillitis? Kungukutheleleka komphimbo, okungenzeka kubangelwa amagciwane we-strep noma igciwane. Ngenkathi uthola umthambo we-throp njalo akusiyo kuphela isizathu sokuthola izikhwama zakho, uma ingane yakho inomkhuhlane ngenxa yokuthi inomkhuhlane kanye ne-postpal nasp, okuyinto engeke ibale njengesiqephu se-tonsillitis, ngaphandle kokuba umphimbo wakhe ububomvu futhi / noma amathoni akhe ane-pus (exudate) kubo.
Ngaphezu kwenani lezinsana zomzimba ingane yakho ithola unyaka ngamunye, ungase ucabange nokuthi unobumnene noma bunzima kangakanani ngaphambi kokucubungula i-tonsillectomy. Uma ingane yakho inezibonakaliso ezinkulu futhi ilahlekelwa isonto esikoleni njalo lapho ithola isifo sofuba, khona-ke ungase ube esheshayo kancane ukuze uthole izikhwama zakhe ngaphandle uma enezimpawu ezengeziwe.
Ezinye izinkomba ezithathelwanayo zokuthola i-tonsillectomy zingase zibandakanye nokuba ne-absentillar abscess izikhathi ezimbili noma ngaphezulu noma zibe ne-cervical adenitis ngenxa ye-tonsillitis engapheli.
I-apnea yokulala
Esinye isizathu esiyinhloko sokuthi izingane zithola amathoni abo ukuthi zikhulu kakhulu futhi zona, kanye nama-adenoids amakhulu, zibangela ukuphazamiseka kokuphefumula kokulala .
Izingane ezine-OSA zivame ukushaya, futhi kungenzeka ukuthi 'zasebenza ngokuphefumula ngenkathi zilele, zibheke i-apnea, ubuthongo obungenalutho, i-diaphoresis, i-enuresis, i-cyanosis, ukulala ngokweqile kwamalanga, nokuziphatha noma izinkinga zokufunda (kubandakanya ukukhathazeka / ukuhlukunyezwa kwengqondo).
Uma ukuxilongwa kwe-OSA kuqinisekisiwe, lawa bantwana ngokuvamile athola kokubili i-tonsillectomy ne-adenoidectomy (i-T & A), ngokungafani nezingane ezinokutheleleka okuningi kwe-tonsil, okuvame ukuthola nje amathoni abo ngaphandle.
Amathani amakhulu
Ngaphandle kokulala ne-apnea, ama-tonsil amakhulu (okuvimbela ukuvimbela ama-hyperplasia) ngezinye izikhathi angaholela ekudleni nasekugwinya izinkinga, ukwehluleka ukuphumelela, ukuphefumula komlomo nezinkinga zenkulumo.
Lezi zingane nazo zingadinga i-tonsillectomy.
Okudingeka Ukwazi
- Uma ucabanga ukuthi ingane yakho inezinkinga eziningi zomlomo we-throat noma ukuthi amathoni akhe amancane kakhulu, cela isidokotela sakho sezingane ukuthi uthunyelwe kuchwepheshe we-ENT wezingane ukuze uxoxe ngokuthi ngabe i-tonsillectomy ingafaneleka yini.
- Ngakolunye uhlangothi, uma udokotela wakho wezingane ekhuthaza i-tonsillectomy, kodwa unganqikazi ukuhlinzwa, bese ubuza ukuthi kungaba kufanele yini ukulinda isikhathi eside.
- Khumbula ukuthi ama-tonsils wengane ngokuvamile azoba madlanzana njengoba ekhula futhi izingane zivame ukuthola izifo ezincane njengoba zikhula, ngakho ingane yakho ingase ilahle izinkinga zayo ngaphambi kokuba ikwazi ukuzitholela.
- Njengoba i-apnea yokulala isifo esibucayi, ngokuvamile awufuni ukulinda ingane yakho ukuba ilahleke futhi kufanele uqhubeke ne-T & A uma udokotela wakho ephakamisa.
Imithombo
I-American Academy of Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. Umhlahlandlela Wokusebenza Ngokwemitholampilo: I-Tonsillectomy Ezinganeni. I-Otolaryngology - Ukukhanda Kwekhanda Nokukhanda Ngo-2011 144: S1.
I-American Academy of Pediatrics. Umhlahlandlela Wokuzivocavoca Emtholampilo Ukuthola Ukuhlolwa Nokuphathwa Kwezingane Ukuvimbela Ukulala I-Apnea Syndrome. I-PEDIATRICS Vol. 109 No. 4 Ephreli 2002, iphe. 704-712
I-Discolo CM. Izinkomba ezithathelwanayo nge-tonsillectomy. I-Pediatr Clin North Am - 01-APR-2003; 50 (2): 445-58
IPharadesi uJack L. MD. I-tonsillectomy ne-Adenotonsillectomy ye-Infraction Infroved Recurrent in Children Modestly Affected. I-PEDIATRICS Vol. 110 No. 1 Julayi 2002, iphe. 7-15
I-MP yePizzuto. Izihloko ezivamile eziphathelene ne-otolaryngology yezingane. I-Pediatr Clin North Am - 01-AUG-1998; 45 (4): 973-91